Individual
DR. MICHAEL KOCHANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1328 MASSACHUSETTS AVE, ARLINGTON, MA 02476-4111
(781) 488-0094
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
PENDING
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2020
Last updated
06/24/2020
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